A. Stadnicka et al., HYPOXIC CONTRACTION OF ISOLATED RABBIT MESENTERIC VEINS - CONTRIBUTION OF ENDOTHELIUM AND ATTENUATION BY VOLATILE ANESTHETICS, Anesthesiology, 82(2), 1995, pp. 550-558
Background: Acute systemic hypoxia induces mesenteric venoconstriction
in intact rabbits in part because of an increase in chemoreflex-media
ted sympathetic efferent nerve activity, Inhaled anesthetics attenuate
this reflex response, The direct effects of hypoxia on mesenteric vei
ns are unknown, The purpose of the current study was to examine the ef
fects of hypoxia on isolated rabbit mesenteric capacitance veins and t
o determine the effects of halothane, isoflurane, and enflurane on the
responses to hypoxia. Methods: Isometric tension was measured before,
during, and after 10 min of hypoxia in the rings of either quiescent
or norepinephrine contracted veins, with or without endothelium, Effec
ts of various pharmacologic agents and volatile anesthetics on the res
ponses to hypoxia were examined. Results: Hypoxia augmented contractio
ns to norepinephrine and phenylephrine only in endothelium-intact vein
s, The hypoxic response was inhibited by phentolamine (alpha-adrenocep
tor antagonist) and abolished in the absence of extracellular Ca2+, Th
ere were no effects of propranolol (beta-adrenoceptor antagonist), rya
nodine (a sarcoplasmic reticulum Ca2+ depleter), indomethacin (cycloox
ygenase inhibitor), or nordihydroguaiaretic acid (lipoxygenase inhibit
or). L-NAME (an inhibitor of nitric oxide synthase) enhanced basal sen
sitivity of veins to norepinephrine but had no effect on the response
to hypoxia, Nicardipine (a blocker of voltage-gated calcium channels)
depressed the hypoxic contraction by 86+/-5%, phosphoramidon (an inhib
itor of endothelin-converting enzyme) by 82+/-8%, and BQ-123 (a specif
ic endothelin-1 receptor antagonist) by 47+/-10%. Volatile anesthetics
(1.0 MAC) inhibited responses to hypoxia in the absence as well as pr
esence of L-NAME. Conclusions: These results suggest that in mesenteri
c capacitance veins of rabbits an intrinsic vascular mechanism contrib
utes to endothelium-dependent hypoxic augmentation of contraction to a
lpha-adrenergic agonists that involve activation of endothelin-1, an e
ndothelium-derived constricting factor. Inhibition of hypoxic contract
ion by volatile anesthetics is not mediated by enothelium relaxing fac
tor.